MISSION Act Quality Measure Community Comparison for Cleveland, OH Health Care System
Last Updated: 02/14/2024
Next Update: 05/14/2024
Data is updated Quarterly
Next Update: 05/14/2024
Data is updated Quarterly
Measure | Measure Direction | VA Hospital Results | Community Benchmark | VA vs. Community | ||
---|---|---|---|---|---|---|
Effective Care | ||||||
Adequate Control of High Blood Pressure | Higher is better | 72.10 % (2) | 59.40 % (2) | BETTER | ||
Cardiovascular Disease Patients Receiving Statin Therapy | Higher is better | 85.30 % (2) | 82.80 % (2) | BETTER | ||
Colorectal Cancer Screening | Higher is better | 81.00 % (2) | 63.90 % (2) | BETTER | ||
Comprehensive Diabetes Care - Blood Pressure Control | Higher is better | 75.40 % (2) | 58.80 % (2) | BETTER | ||
Death rate for Congestive Heart Failure | Lower is better | 7.10 (1) | 11.80 (1) | BETTER | ||
Death rate for COPD | Lower is better | 7.60 (1) | 9.20 (1) | SAME | ||
Death rate for Heart Attack | Lower is better | 12.00 (1) | 12.60 (1) | SAME | ||
Death rate for Pneumonia | Lower is better | 15.70 (1) | 18.20 (1) | SAME | ||
Diabetes Patients Receiving Statin Therapy | Higher is better | 76.70 % (2) | 65.30 % (2) | BETTER | ||
Flu Shots for Adults Ages 19-65 | Higher is better | 30.60 % (2) | 56.00 % (2) | WORSE | ||
Follow-Up After Hospitalization For Mental Illness 30 days (Total) | Higher is better | 94.30 % (2) | 74.10 % (2) | BETTER | ||
Follow-Up After Hospitalization For Mental Illness 7 days (Total) | Higher is better | 84.40 % (2) | 51.30 % (2) | BETTER | ||
Non-recommended PSA-based Screening in Older Men (Prostate Screening) | Lower is better | 34.70 % (2) | 29.40 % (2) | WORSE | ||
Poor Blood Glucose Control Among Diabetics | Lower is better | 13.70 % (2) | 36.10 % (2) | BETTER | ||
Screening for Breast Cancer | Higher is better | 80.90 % (2) | 70.70 % (2) | BETTER | ||
Screening for Cervical Cancer | Higher is better | 82.50 % (2) | 72.60 % (2) | BETTER | ||
Smoking and Tobacco Cessation - Advise Smokers to Quit | Higher is better | 100.00 % (2) | 74.90 % (2) | BETTER | ||
Safe Care | ||||||
Catheter-associated urinary tract infection | Lower is better | 0.310 | 2.016 | BETTER | ||
Central line-associated bloodstream infection | Lower is better | 0.890 | 2.175 | BETTER | ||
Death among surgical inpatients | Lower is better | 132.38 (1) | 143.04 (1) | SAME | ||
Veteran-Centered Care | ||||||
Care Coordination | Higher is better | 66.00 % (12) | 60.00 % (12) | BETTER | ||
Care Transition | Higher is better | 60.00 % (1) | 52.00 % (1) | SAME | ||
Overall Rating of Hospital | Higher is better | 76.00 % (1) | 72.00 % (1) | SAME | ||
Overall Rating of Provider | Higher is better | 79.00 % (12) | 73.00 % (12) | BETTER |
* Incomplete score; influenza season is ongoing. | |
1 - | CMS Care Compare benchmark |
2 - | NCQA HEDIS benchmark. |
3 - | AHRQ CAHPS Database benchmark |
4 - | Benchmark Calculated from CMS data |
5 - | CMS Nursing Home Compare benchmark |
6 - | VA Only Data. For FY21, benchmark data is pre-COVID-19; VA data is inclusive of the pandemic timeframe |
9 - | Greater than 1000 lines days are needed to report the HAI measure |
10 - | The number of cases is too few to report |
11 - | Due to first year reporting with CMS, prior year facility rate is not available |
12 - | VA National Score |
13 - | No data for this reporting period |